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A modified spondee threshold procedure.

F N Martin, L K Dowdy

    The Journal of Auditory Research
    |April 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    A new method for testing spondee thresholds (ST) is as valid as current guidelines but significantly faster and more efficient. This improved ST testing procedure offers clinical benefits without compromising accuracy in hearing assessments.

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    Area of Science:

    • Audiology
    • Speech-Language Pathology
    • Hearing Science

    Background:

    • Current American Speech-Language-Hearing Association (ASHA) guidelines for speech reception threshold (SRT) testing are not widely followed by audiologists.
    • Previous research indicated low adherence to established SRT testing protocols.

    Purpose of the Study:

    • To compare the validity and efficiency of a modified SRT testing procedure (ST2) against the current ASHA guidelines (ST1).
    • To evaluate an experimental procedure based on ASHA pure-tone audiometry guidelines for collecting spondee thresholds.

    Main Methods:

    • Thirty-six normal-hearing adults participated in the study.
    • Spondee thresholds (ST1) were collected following strict ASHA guidelines.
    • Spondee thresholds (ST2) were collected using an experimental procedure derived from ASHA pure-tone audiometry guidelines.

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  • A 3-frequency pure-tone average (PTA) was also obtained for comparison.
  • Main Results:

    • Mean hearing levels (HTLs) for ST1, ST2, and PTA differed by 5 dB or less, indicating comparable validity.
    • The experimental ST2 procedure was significantly more efficient, saving an average of 139 seconds per ear and 15 word presentations per ear.
    • ST2 demonstrated considerable time and word presentation savings compared to ST1.

    Conclusions:

    • Both tested spondee threshold procedures (ST1 and ST2) are equally valid and interchangeable for assessing hearing.
    • The ST2 procedure offers significant efficiency gains, making it a potentially valuable clinical tool.
    • The experimental ST2 procedure can be implemented in clinical settings without compromising the validity of speech reception threshold measurements.